Journal of Plastic Reconstructive and Aesthetic Surgery最新文献

{"title":"Commentary on ‘Factors affecting the patency of the internal jugular vein after neck dissection for malignant hypopharyngeal tumors—Significance of free jejunal flap transfer with the internal jugular vein as the recipient vein’","authors":"Jaskirat Singh, Rachana Mehta, Ranjana Sah, Shubham Kumar, Amogh Verma","doi":"10.1016/j.bjps.2025.02.024","DOIUrl":"10.1016/j.bjps.2025.02.024","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"103 ","pages":"Pages 199-201"},"PeriodicalIF":2.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143474851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on ““Twin V/Y Nasal Perforator Flaps”. An alternative to the forehead flap for nasal tip reconstruction. A case control study”","authors":"Luigi Losco, Dicle Aksoyler","doi":"10.1016/j.bjps.2025.02.018","DOIUrl":"10.1016/j.bjps.2025.02.018","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"103 ","pages":"Pages 168-169"},"PeriodicalIF":2.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inframammary extended circumflex scapular (IMECS) flap for axillary hidradenitis suppurativa: Advantages over conventional alternatives","authors":"G. Ibarra,&nbsp;A. Rivera,&nbsp;B. Fernandez-Ibarburu,&nbsp;I. Capdevila,&nbsp;C. Ciudad-Blanco,&nbsp;A. Garcia-Ruano","doi":"10.1016/j.bjps.2025.02.019","DOIUrl":"10.1016/j.bjps.2025.02.019","url":null,"abstract":"<div><h3>Background</h3><div>We presented our experience with the use of the inframammary extended circumflex scapular (IMECS) flap in the reconstruction of axillary hidradenitis suppurativa (HS). Although this flap has been described as a free flap, its use for the reconstruction of the axilla has not been documented yet.</div></div><div><h3>Methods</h3><div>The study included patients with HS in the axillary region, Hurley stage III, operated between 2016 and 2020 with wide local excision and coverage with the inframammary extended circumflex scapular flap. We recorded patients’ demographic details (sex, age, comorbidities, smoking habit), affected area characteristics (stage, extension, side), operative technique (simple or tunneled flap, surgical timing, hospitalization days), and postoperative outcome (time to healing, complications, recurrences, additional surgeries, and follow-up).</div></div><div><h3>Results</h3><div>A total of 7 flaps were successfully performed in 6 patients. The mean size of the flaps was 160 cm² (range 115–225), and the mean surgical time was 82 min (range 65–90). The flap success rate was 100%, without any partial or complete flap necrosis. There was 1 flap dehiscence and 1 additional surgery to correct a dog-ear deformity. No local recurrence was documented during follow-up. There were no complications in the donor site and no limitation to arm abduction.</div></div><div><h3>Conclusions</h3><div>The IMECS flap is an easy and reliable option for the reconstruction of axillary defects after excision of HS stage III hidradenitis, with low morbidity and good functional and aesthetic results.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"104 ","pages":"Pages 57-66"},"PeriodicalIF":2.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143672151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The clinical application of buried-suture method in the treatment of superficial arteriovenous malformations","authors":"Jian-Xun Ma ,&nbsp;Xiao-Di Xiao ,&nbsp;Wei-Wei Shen ,&nbsp;You-Chen Xia","doi":"10.1016/j.bjps.2025.02.017","DOIUrl":"10.1016/j.bjps.2025.02.017","url":null,"abstract":"<div><h3>Purpose</h3><div>This study sought to evaluate the hemodynamic efficacy of the buried-suture method for achieving therapeutic flow reduction in superficial arteriovenous malformations (AVMs) while establishing patient selection criteria for this intervention.</div></div><div><h3>Methods</h3><div>Thirty patients diagnosed with superficial AVMs enrolled in this study from November 2020 to April 2023. The buried-suture procedure was performed to reduce blood flow and assist in subsequent sclerotherapy. The effectiveness of blood flow reduction was analyzed.</div></div><div><h3>Results</h3><div>Among the 30 patients, 19 were classified as Schobinger stage I, 7 as stage II, and 4 as stage III. Most had diffuse-type lesions (18/30, 60.0%), primarily affecting the head and neck (17/30, 56.7%). The median maximum vessel diameter within the nidus was 2.1 mm, and the median peak systolic velocity of the lesions was 65.9 cm/s. The patients underwent a median of 2.0 buried-suture procedures and 4.0 sclerotherapy sessions. All the lesions got a significant reduction of blood flow and had improved distribution grade after each buried-suture procedure (<em>p</em> &lt; 0.05). In a mean follow-up of 14.11 months, only one patient experienced a skin ulcer, which healed after 2 weeks of regular dressing changes.</div></div><div><h3>Conclusion</h3><div>In suitable cases of superficial AVMs, the buried-suture method can effectively reduce blood flow velocity and vascular density. It could provide a safe hemodynamic foundation for subsequent sclerotherapy treatment.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"104 ","pages":"Pages 26-32"},"PeriodicalIF":2.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143642233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cost analysis and clinical outcomes of enhanced recovery after surgery for head and neck free flap reconstruction","authors":"Jui-Min Lee ,&nbsp;Mei-Chun Chen ,&nbsp;Szu-Hsien Wu ,&nbsp;Yu-Chung Shih ,&nbsp;Chih-Hsun Lin ,&nbsp;Fu-Yin Hsiao ,&nbsp;Chin-En Chen ,&nbsp;Yu-Jen Chiu ,&nbsp;Tien-Hsiang Wang","doi":"10.1016/j.bjps.2025.02.020","DOIUrl":"10.1016/j.bjps.2025.02.020","url":null,"abstract":"<div><div>Head and neck reconstruction is among the most expensive types of surgery, requiring long operation time and hospital stays, with high complication rates. Enhanced recovery after surgery improves the quality of post-operative recovery. In this study, we evaluated and compared the costs and outcomes in patients who underwent free flap reconstruction after head and neck cancer surgery with or without enhanced recovery. This retrospective study utilised an actively maintained prospective database. Patients who underwent head and neck surgery with free flap reconstruction between November 2020 and June 2023 were categorised into the enhanced recovery after surgery and control groups. The perioperative outcomes, complication rates and hospitalisation costs were analysed. Overall, 94 patients (47 per group) were included. Compared with the control group, the enhanced recovery after surgery group showed reduced duration of sedation (15.7 h vs 34.7 h, <em>p</em>&lt;0.05), post-operative mechanical ventilation (36.6 h vs 63.7 h, <em>p</em>&lt;0.05), intensive care unit stay (3.9 days vs 5.0 days, <em>p</em>&lt;0.05) and earlier ambulation (7.5 days vs 8.9 days, <em>p</em>&lt;0.05) without increased risks of minor or major complications. The median total costs per patient were $19,353.0 and $17,320.8 in the control and enhanced recovery after surgery groups, respectively. Implementing enhanced recovery after surgery resulted in a 10% reduction ($2167.8/person) in hospitalisation costs, mainly from decreased surgical and medication expenses. The enhanced recovery after surgery protocol is a safe, effective and cost-efficient programme that facilitates post-operative recovery in patients undergoing head and neck reconstruction without significantly increasing the risk of complications.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"104 ","pages":"Pages 7-13"},"PeriodicalIF":2.0,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143610484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The development of the Mid Yorkshire (MY) Skin Surgery Simulator: A low cost and accessible simulation model for facial flaps","authors":"Kelsey Mills,&nbsp;Nikos Lymperopoulos,&nbsp;Sanjib Majumder","doi":"10.1016/j.bjps.2025.02.021","DOIUrl":"10.1016/j.bjps.2025.02.021","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"103 ","pages":"Pages 283-285"},"PeriodicalIF":2.0,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143534848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to: “The use of Integra Dermal Regeneration Template in the surgical management of revision penile inversion vaginoplasty: A case series” [J Plast Reconstr Aesthet Surg 87 (2023) 91–97]","authors":"Nicole Sanchez Figueroa ,&nbsp;Eugene Zheng ,&nbsp;Doga Kuruoglu ,&nbsp;Jorys Martinez-Jorge","doi":"10.1016/j.bjps.2025.01.083","DOIUrl":"10.1016/j.bjps.2025.01.083","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"102 ","pages":"Page 334"},"PeriodicalIF":2.0,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143403401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Epidemiology and disparities of gender-affirming surgery in the United States","authors":"Christopher L. Kalmar,&nbsp;Sriya V. Nemani,&nbsp;Patrick E. Assi,&nbsp;Salam Kassis","doi":"10.1016/j.bjps.2025.01.047","DOIUrl":"10.1016/j.bjps.2025.01.047","url":null,"abstract":"<div><h3>Background</h3><div>Several advances have been made to increase access to gender-affirming procedures across the country, yet it remains unknown whether these benefits are experienced disproportionately across demographics. The purpose of this study was to investigate the epidemiologic trends of gender-affirming surgery across the country over the past six years, as well as to analyze the racial and ethnic disparities in immediate postoperative complications for patients undergoing gender-affirming surgery nationwide.</div></div><div><h3>Methods</h3><div>Retrospective cohort study was conducted of gender-affirming procedures performed in the United States between 2015 and 2020 across 719 hospitals participating in the National Surgical Quality Improvement Program. Age at surgery, type of reconstruction, and postoperative complications were compared across demographic groups.</div></div><div><h3>Results</h3><div>During the study interval, 4491 patients underwent gender-affirming surgery, including 71.1% (n=3221) masculinizing procedures and 28.3% (n=1270) feminizing procedures. Over the last five years, there has been a fourfold increase in gender-affirming surgery, from 299 per million to 1029 per million cases performed in the United States (p&lt;.001). Transmasculine patients were ten years younger than transfeminine patients (p&lt;.001). While masculinizing procedures were the most common across all demographics, Black and Hispanic patients were significantly more likely to undergo feminizing procedures than White patients (p&lt;.001). Black patients were significantly older than White patients at the time of surgery. Black patients were significantly more likely than White patients to experience postoperative surgical complications (p=.039).</div></div><div><h3>Conclusions</h3><div>Racial and ethnic disparities exist in gender-affirming surgery preference, timing, and postoperative outcomes.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"103 ","pages":"Pages 256-262"},"PeriodicalIF":2.0,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143511188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preventing traction suture skin indentation in oculofacial surgery","authors":"Giacomo Visioli ,&nbsp;Evan Afshin ,&nbsp;Ebby Elahi","doi":"10.1016/j.bjps.2025.02.016","DOIUrl":"10.1016/j.bjps.2025.02.016","url":null,"abstract":"<div><div>In oculofacial surgery, traction sutures are often used to maintain tissue exposure, but they can cause temporary skin indentations or erythema, impacting patient satisfaction. This article presents a simple technique to mitigate these effects by repurposing the adhesive foam packaging from soft dissectors as a cushioning platform. The foam is applied to the patient's forehead, allowing the sutures to rest on it instead of directly on the skin, distributing pressure more evenly. This method effectively reduces skin marks, enhances postoperative aesthetics, is cost-effective, and seamlessly integrates into surgical workflows without increasing operative time. Given its simplicity and effectiveness, this approach can be applied in various surgical settings beyond oculofacial procedures.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"103 ","pages":"Pages 36-38"},"PeriodicalIF":2.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143421065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Delineating upper limb longitudinal recovery after simple mastectomy, implant or autologous breast reconstruction using wearable activity monitors","authors":"Nur Amalina Che Bakri Amalina ,&nbsp;Richard M. Kwasnicki ,&nbsp;Emmanuel Giannas ,&nbsp;Tanusree Dutta ,&nbsp;Judith E. Hunter ,&nbsp;Francis P. Henry ,&nbsp;Simon Wood ,&nbsp;Hutan Ashrafian ,&nbsp;Ara Darzi ,&nbsp;Daniel R. Leff","doi":"10.1016/j.bjps.2025.02.012","DOIUrl":"10.1016/j.bjps.2025.02.012","url":null,"abstract":"<div><h3>Introduction</h3><div>The demand for breast reconstruction has increased owing to the established benefits for patients. Given the long-term survivorship, objective data are vital to aid patients in making treatment decisions. This prospective longitudinal observational study was carried out to objectively quantify the impact of simple mastectomy (Mx), implant-based reconstruction (IBR) and deep inferior epigastric perforator (DIEP) on upper limb (UL) activity using wearable activity monitors (WAMs).</div></div><div><h3>Methods</h3><div>Forty-eight consecutive patients who underwent breast and reconstructive surgery were identified from operating schedules. Recruited participants were invited to wear WAMs on both wrists for an average of 3 days preoperatively, for 2 weeks post-operatively and more than 6 months post-operatively.</div></div><div><h3>Results</h3><div>A significantly greater reduction in gross physical activity as a percentage of preoperative activity was observed in DIEP compared with Mx and IBR patients across week 1 (median: 40% versus 62% versus 62%; p&lt;0.001) and week 2 (median: 60% versus 77% versus 84%; p&lt;0.001). In the long-term follow-up, the average activity had reached or exceeded their baseline levels for all operative procedures, Mx=114%, IBR=98% and DIEP=103%. DIEP was an independent predictor of recovery in weeks 1 (F=4.796, p=0.043) and 2 (F=7.306, p=0.015).</div></div><div><h3>Conclusion</h3><div>Despite DIEP patients having the lowest UL activity level in the acute post-operative period when compared with Mx and IBR patients, average activity levels returned to baseline in the long-term for all procedures. Objective monitoring of recovery using WAMs can support the development of a personalised rehabilitation programme for those at risk of developing complications.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"104 ","pages":"Pages 113-122"},"PeriodicalIF":2.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143680679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}